Systems Reform



Our complex health care system – and the changes that reform will bring about – perhaps can best be understood if split into three main areas. We have organized reference materials into each of these areas, and you can click on the links below to access them: 

HC Delivery: The delivery system of hospitals, doctors, other “providers” and their interest groups (e.g., the AMA) and oversight bodies (e.g., CMS, the Institute of Medicine, and the CDC). In this section are articles and studies on topics such as provider payment reform, quality of care, prevention, clinical effectiveness review (CER), malpractice reform, and electronic medicine/ information technology. Read more >>

HC Coverage: How individuals get coverage and who provides it – e.g., Medicare and Medicaid, coverage requirements, the new insurance exchanges to be set up by 2014, federal and state duties and enforcement procedures, insurance company rules and employers’ requirements. Read more >>

HC Financing: How health care coverage is paid for, participant premium contributions, studies on potential savings opportunities, cost trends and premiums, taxes, impact on federal and state budgets, etc. Read more >>